TY - JOUR
T1 - Poor use of cardiac rehabilitation among older adults
T2 - A self-regulatory model for tailored interventions
AU - Keib, Carrie N.
AU - Reynolds, Nancy R.
AU - Ahijevych, Karen L.
N1 - Funding Information:
Fellowship support was provided for C.N.K. by National Institutes of Health and National Institute of Nursing Research grant 5 F31 NR008971 .
Publisher Copyright:
© 2010 Elsevier Inc
PY - 2010/12/1
Y1 - 2010/12/1
N2 - Background A greater number of older adults now live with coronary heart disease (CHD). This poses a significant public health problem, because older adults are at high risk for CHD-related mortality and morbidity. Overwhelming data support the benefits of cardiac rehabilitation for secondary prevention, yet only a small portion of eligible older adults receive it. Methods and Results Whereas many studies examined factors that affect the use of cardiac rehabilitation among older adults, few interventions aimed to improve their cardiac rehabilitation participation rates. A substantial body of evidence indicates that an individual's illness perceptions play a pivotal role in health behavior, and may be a promising target for intervention. Drawing from the theoretic and empiric findings of others, a self-regulatory model is proposed that explicates how CHD perceptions of older adults may influence participation in cardiac rehabilitation. Conclusion The model may provide a useful guide for the development of effective interventions tailored to older adults.
AB - Background A greater number of older adults now live with coronary heart disease (CHD). This poses a significant public health problem, because older adults are at high risk for CHD-related mortality and morbidity. Overwhelming data support the benefits of cardiac rehabilitation for secondary prevention, yet only a small portion of eligible older adults receive it. Methods and Results Whereas many studies examined factors that affect the use of cardiac rehabilitation among older adults, few interventions aimed to improve their cardiac rehabilitation participation rates. A substantial body of evidence indicates that an individual's illness perceptions play a pivotal role in health behavior, and may be a promising target for intervention. Drawing from the theoretic and empiric findings of others, a self-regulatory model is proposed that explicates how CHD perceptions of older adults may influence participation in cardiac rehabilitation. Conclusion The model may provide a useful guide for the development of effective interventions tailored to older adults.
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U2 - 10.1016/j.hrtlng.2009.11.006
DO - 10.1016/j.hrtlng.2009.11.006
M3 - Review article
C2 - 20561883
AN - SCOPUS:77952662218
SN - 0147-9563
VL - 39
SP - 504
EP - 511
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
IS - 6
ER -